340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUGS OF LEXINGTON

Pharmacy Address

D/B/A AVITA PHARMACY 1051
1216 W MAIN ST
STE D
LEXINGTON, SC 29072-2453

Pharmacy Comments

Approval Date

9/12/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jeremy Hanson Willis, CEO
(612) 373-2400

Contract Pharmacy Representative

Avita Drugs
JERRY PURCELL, EVP
(504) 905-4587

Signed By Date

7/7/2023